Virginia · 73501

X-Ray Of Hip, 1 View in Virginia

Virginia Medicare Avg
$16.62
20% above national avg
National Medicare Avg
$13.82
All states combined
Billed Charge (VA)
$82.03
What providers submit
Est. Commercial (VA)
$50.82
National avg: $41.84
Est. Cash / Self-Pay (VA)
$39.88
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

7.8K
Services in VA
772
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Virginia

Provider Medicare Services
Helvie, Peter MD $21.34 275
Diminick, Michael MD $22.02 243
Gondi, Gautham MD $21.36 236
Prahinski, John MD $22.04 201
Caprise, Peter MD $21.77 190
Ratajczak, Zdzislaw M.D. $22.83 172
Berger And Burrow Enterprises Inc. $16.82 162
Romness, David MD $27.13 150
Elkhamra, Omar M.D. $23.02 146
Petersen, William M.D., M.P.H. $27.93 142
Holthaus, Lowrey M.D. $6.82 126
Snyder, James M.D. $7.19 106
Miller, David M.D. $22.30 104

Virginia Pricing in Context

In Virginia, CPT code 73501 (X-Ray Of Hip, 1 View) carries an average Medicare payment of $16.62 — 20% above the national benchmark of $13.82. 772 providers across the state submitted claims for this procedure in 2023, performing 7.8K total services. Individual payments in VA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Virginia is $82.03, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Virginia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in Virginia lands near $50.82, with self-pay cash prices typically around $39.88. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does X-Ray Of Hip, 1 View cost in Virginia?

The average Medicare payment for X-Ray Of Hip, 1 View in Virginia is $16.62, which is 20% above the national average of $13.82. Providers in VA typically bill $82.03 for this procedure.

What does X-Ray Of Hip, 1 View cost with insurance in Virginia?

With commercial insurance in Virginia, X-Ray Of Hip, 1 View costs an estimated $50.82. Without insurance, the estimated cash price is $39.88. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Of Hip, 1 View in Virginia?

772 providers in Virginia billed Medicare for X-Ray Of Hip, 1 View in 2023, performing 7.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Hip, 1 View cheaper in Virginia than the national average?

No — X-Ray Of Hip, 1 View costs 20% above the national average in Virginia. The state average Medicare payment is $16.62 compared to $13.82 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial